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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. y`I t Alterations
aNORTHAMPTON, MASS. A a-� 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage F r— �
1. Location t 5 t ��� K Lot No.
2. Owner's name Address ( t 1/k 't,t-
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
C5 Alteration IPvjJ ne-- p,c'
c 7lL,e2 c �� fir`_'r\ e_ S�+Irr,IFS i t'�. fcriF_ fie►_ �t �v�
TI`-S4tt Sttdl•'e'- t,(t,bSC1[aW -t 1.N'Sittikt SECy lie J%t', .'.'„1hc.V.�, tt���4- �tCq�'1<� I-14�W
6.-New-Porch i ++�i i el o e K �{ tl .. ,4 s r 1 a.,1 a .
7. Is existing building to be demolished? Al t
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cosL-
r �c°.rrf I {her�nI ',e �} Buz�" ;+�;�et�< 1 The undersigned certifies that the above statements are true to the best of his, her
gphs yy , "j,-,f; Z ors ,.. knowledge and belief. r
re ecl fAe Signature of responsible app,icant
Remarks
Crif�7 of Naxt4alltpfan
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DEPARTMENT OP BUILDFNC INSPECTIONS
INSPGCTOR 212 Mein Strcct ' Municipal Building
Northajnpton, Macs. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE; yc - IYA C1 Ln
JOB LOCATION:
(Map) (parcel ) ( Subdivision) t71,tri-}
HOMEOWNER: , \�:, ti \fic_y\
(Name & Addre s )
' 6t t q ]
( Horne Phone ) (Work Phone }
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one ( 1 )or two (2) >=ami 1 i es and to allow such .
homeowner to engage an individual for hire who does not possess a `
license , provided that the owner acts as supervisor . Ll,iR780 Section 109. 1 . 1
DEFINITION OF HOMEOWNER: Person( s ) who own a oarce} of land on
which he/she resides or intends to reside , on there is , or is
intended to be , a one or two family dwelling, attached or detached
structures accessory to such use and/or farm structures . A person who
constructs more than one home in a two-year period shall not be
considered a homeowner . Such "homeowner" shall su It to the Building
Official , on a form acceptable to the Building Of _icial , that he/she
shall be responsible for all such work performed under the building
permit .
As acting Construction Supervisor your presence on the job site
will be required from time to time , during and upon completion of the
work for which this permit is issued .
Also be advised that with reference to Chapter 152 (Workers '
Compensation ) and Chapter 153 (Liability of Employers to Employees for
injuries not resulting in Death) of the Massachusetts General Laws
Annotated, you may be' liable for person( s ) you hire to perform work for
t you under this permit .
The undersigned "homeowner" certifies and assumes responsibility
for compliance with the State Building Code , City of Northampton
' Ordinances , State and Local Zoning Laws and State of Massachusetts
General Laws Annotated AND SHALL BE ON THE JOB AS SUPERVISOR.
HOMEOWNER SIGNATURE �
t
BUILDING PERMIT V
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Enclosed Porch 6
First, Front Second j Front
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• 10. Do any signs exist on the property=? YES NO ✓✓
IF YES, describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This aolumm to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
38 y o
Frontage
Setbacks
- side L: R: L: (P'('-R':
Zo
- rear
Building height
Bldg Square footage 'S 0 Q l�' f�° c%
�i5 1 � ioxie '-f, C)
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking Spacesw
# of Loading Docks
Fill:
(vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
.1 _
DATE: �, t S '�sa APPLICANT'S SIGNATURE
3" NOTE: Issuanoe of a zoning permit does not relieve an a p cant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
.',„ FILE #
2 81996 Fi 1 e No. C%0�
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ! S ov
Address: . Ll W(fSi Fcj VV\S Telephone: 5 9 1 - S 19 U
2. Owner of Property: Sca�ti,
Address: Telephone:
3. Status of Applicant: 1/ Owner Contract Purchaser Lessee
Other(explain):
7
4. Job Location: `� ��N`,t Voor h_S �zj
Parcel Id: Zoning Map# 3 S Parcel# 2> District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property I F' VVr\
Ci Description of Proposed Use/Work/Project/Occupation: (Use additional heets if necessary):Reow`f' r�en GvL te�jd n�a�j 1pp;er Matz yy rc r�ev"eve fejo4r
r'eDi0.C� �/t'HdOW / ylSftt�t �1`[t't"het G�ASS de,c I rey►,,eue 1A 4 p Iexs4er nw{' M_0 Q��{ivetll1
I'Ig'S 5KV i,`4W5 _ f n fY41/ �CGk cf� �li`m-4,t reov— , i h">~ f �tnce_ on f/`e 1� SF+'E .71n►`{ .
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Vadance/Finding ever been issued for/on the site?
NO DON'T KNOW �J YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW 1� YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO V DON'T KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
FILE #_ 9 So
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APPLICANT/CONTACT PERSON: �( � ��/ 1Z ''� -,,5 j0
ADDRESS/PHONE:
PROPERTY LOCATION:
MAP PARCEL: C�.2 ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLO ED REQUIRED DATE
]Rivildin2 Permit Filled nvit
Fee pfaid
va�"
f;
1�
THE LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION-
Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received& Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
Permit from Conservation Commission
Signature of Building Da e
NOTE: Issuanoa of at zoning permit does not relieve an applioant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities. —
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